Individual
SHIRLEY DIANE ESTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4801 E LINWOOD BLVD, KANSAS CITY, MO 64128-2226
(816) 861-4700
(816) 922-4736
Mailing address
101 W 61ST TER, KANSAS CITY, MO 64113-1455
(816) 861-4700
(816) 922-4736
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029374
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029374
PHARMACIST LICENSE NUMBER
MO
Enumeration date
09/25/2006
Last updated
07/08/2007
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